North Winds Living Center

In the surveyor’s words

From the most serious findings on record at North Winds Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 12, 2025

  On 05/12/25, a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to protect a resident from psychosocial abuse for Resident #2. A nurse note, dated 02/13/25 at 4:00 p.m., showed Resident #79 was heard yelling come out your room mother [explicit]. The note showed Resident #79 stated, get out here faggot. The note showed LPN #1 approached Resident #79 who was repeating come the [explicit] out, I'm gonna [explicit] you up. The note showed Resident #79 was holding a wet floor sign in their hand, slinging it around, and attempting to get into another resident's room. The note showed the other resident did nothing and kept their door shut. […]

• Immediate jeopardy, isolatedF610May 12, 2025

  On 05/12/25, a past non-compliance Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to thoroughly investigate an allegation of abuse for Resident #2. A nurse note, dated 02/13/25 at 4:00 p.m., showed Resident #79 was heard yelling come out your room mother [explicit]. The note showed Resident #79 stated, get out here faggot. The note showed LPN #1 approached Resident #79 who was repeating come the [explicit] out, I'm gonna [explicit] you up. The note showed Resident #79 was holding a wet floor sign in their hand, slinging it around, and attempting to get into another resident's room. The note showed the other resident did nothing and kept their door shut. […]

• No harm, potential for more than minimal, patternF657Jan 20, 2023

  Based on record review and interview, the facility failed to ensure: A. Residents were offered the opportunity to take part in their care plan meeting for two (#17 and #19) of three sampled residents reviewed for care plan meetings and, B. Care plans were revised with each resident assessment for three (#1, 13 and #24) of nine sampled residents reviewed for care plan revision. The Resident Census and Conditions of Residents report, dated 01/17/23, documented 27 residents. Findings: The Care Planning-Interdisciplinary Team policy, revised September 2013, read in parts, .The resident, the resident's family and/or legal representative/guardian .are encouraged to participate in the development of and revisions to the resident's care plan .Every effort will be made to schedule care plan… […]

• No harm, potential for more than minimal, patternF684Jan 20, 2023

  Based on record review and interview, the facility failed to ensure collaboration and coordination of care and services with hospice was provided for one (#4) of one sampled resident who was admitted to hospice services. The Resident Census and Conditions of Residents report, dated 01/17/23, documented two residents were receiving hospice care. Findings: The Hospice Program policy, revised July 2017, read in parts, Hospice services are available to residents at the end of life .it is the responsibility of the facility to meet the resident's personal care and nursing needs in coordination with the hospice representative, and ensure the level of care provided is appropriately based on the individual's needs .Coordinated care plans for residents receiving hospice services will include the… […]

• No harm, potential for more than minimal, isolatedF578May 12, 2025

  Based on record review and interview, the facility failed to ensure a resident's complete advance directive was included in their medical record for 1 (#2) of 16 sampled residents reviewed for advance directives. RN #1 identified 27 residents resided in the facility. Findings: An advance directive policy, revised 12/2016, read in part, Advance directives will be respected in accordance with state law and facility policy.Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so.Information about whether or not the resident has executed an advance directive shall be displayed prominently in the medical record. […]